Library Use of eBooks - 2012 Edition
Order Form
Order by Mail
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Shipping/Contact Information First name________________________________ Last name_________________________________ Title_______________________________________ Company/organization__________________________ Address______________________________________ City__________________________________________ State_________________________________________ ZIP___________________________________________ E-mail address. (Required) _______________________________________________ Phone ___________________________ |
□ Pay with Credit Card □ Visa □ Amex □ MasterCard □ Discover Credit card # ______________________________ Name on card _______________________________ Expiration date ________________ Authorized signature__________________________ □ Pay by Check Make check payable to The Library Resources Group, Inc. and mail it with your completed order form to: LRG 7823 Stratford Rd Bethesda, MD 20814 □ Invoice Me (Report is shipped upon receipt of payment.) Purchase Order # if Appropriate _______________________________ |
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